hipaa-audit

hipaa-audit is a skill for Claude Code from briiirussell/cybersecurity-skills. It costs 172 tokens per session (3,920 once invoked), scanned A, original, MIT.

An engineering audit guide for software and infrastructure that handle Protected Health Information, or PHI—health-related information that can identify a person. It covers the US HIPAA rules and HITECH, with emphasis on technical safeguards.

In plain words
What is it for?
Use it to assess ePHI scope, administrative, physical, and technical safeguards, HIPAA privacy and breach requirements, access controls, encryption, secrets, audit logs, and breach-response processes.
Why use it?
It helps teams find gaps in how health information is protected, accessed, logged, and disclosed. It also makes clear which work supports compliance and which final decisions require legal or privacy officers.

Skill for Claude Code

Written for Claude Code: allowed-tools in frontmatter. Also seen: positional $N argument.

Part of the cybersecurity-skills plugin — 28 skills shipped together

Good fit Use it to assess ePHI scope, administrative, physical, and technical safeguards, HIPAA privacy and breach requirements, access controls, encryption, secrets, audit logs, and breach-response processes.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/briiirussell/cybersecurity-skills/hipaa-audit
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add briiirussell/cybersecurity-skills --skill hipaa-audit
Clone the repo
git clone --depth 1 https://github.com/briiirussell/cybersecurity-skills

Made for: Claude Code.

Or install cybersecurity-skills, the plugin that ships this one along with the rest of its 28 skills.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for hipaa-audit

README.md
[![agentmods](https://agentmods.dev/badge/skills/briiirussell/cybersecurity-skills/hipaa-audit/github.svg)](https://agentmods.dev/skills/briiirussell/cybersecurity-skills/hipaa-audit)
Your own site
<a href="https://agentmods.dev/skills/briiirussell/cybersecurity-skills/hipaa-audit"><img src="https://agentmods.dev/badge/skills/briiirussell/cybersecurity-skills/hipaa-audit/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for hipaa-audit

Your own site · 80×15
<a href="https://agentmods.dev/skills/briiirussell/cybersecurity-skills/hipaa-audit"><img src="https://agentmods.dev/badge/skills/briiirussell/cybersecurity-skills/hipaa-audit.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 172 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 3,920 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe. Third-party audits
  • NVIDIA SkillSpector pass 7 Sept 2026
How audits are shown
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00172 $0.03920
Opus 5 $0.00086 $0.01960
Sonnet 5 $0.00034 $0.00784
Haiku 4.5 $0.00017 $0.00392

Measured 12d ago against content hash 328b90de3803, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-11, from the pricing page.

Security

Grade A, and why

hipaa-audit scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 12d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

skills/hipaa-audit/SKILL.md · 277 lines

How it starts

The opening of the file, as written. The whole thing — 277 lines — stays where its author put it; the contents beside it link to each section on GitHub.

HIPAA Audit — Health Insurance Portability and Accountability Act

HIPAA governs how Protected Health Information (PHI) is handled in the United States healthcare ecosystem. The engineering surface area is large because PHI is broader than people often realize: a calendar entry naming a patient's appointment is PHI; an IP address logged on a portal accessed by a patient may be PHI in combination with a health condition.

The skill is structured around the four HIPAA rules with emphasis on the Security Rule's three safeguard categories (Administrative / Physical / Technical) — that's where engineering work happens. Privacy Rule, Breach Notification Rule, and HITECH layer on top.

Final compliance determinations stay with counsel and your privacy officer; this skill is the technical engineering layer.

Cross-references: privacy-engineering for the GDPR / CCPA-shaped privacy work that often overlaps; iam-audit for access control and authentication; crypto-audit for encryption-at-rest and in-transit detail; secrets-audit for key management; siem-detection for audit-log engineering; incident-triage and security-comms for breach response.

Scope — who is covered and what is PHI

Who must comply

  • Covered entity (CE) — health plans, healthcare clearinghouses, healthcare providers who transmit health info electronically in connection with HIPAA-defined transactions
  • Business associate (BA) — anyone who creates / receives / maintains / transmits PHI on behalf of a covered entity (cloud hosts holding PHI, SaaS analytics, EHR vendors, billing services, even some attorneys and consultants)
  • Subcontractor of a BA — also a BA. The chain extends; every link needs a BAA with the link above

If a system handles PHI for a CE without a BAA, that's a violation regardless of how secure the handling is.

What is PHI / ePHI

PHI = individually identifiable health information held or transmitted by a CE or BA. ePHI = the electronic form.

The 18 HIPAA identifiers (Safe Harbor de-identification list — if all are stripped, data is no longer PHI):

Read the full file on GitHub · 277 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 12d ago First seen · 277 lines · 172 tokens per session scan A 328b90de3803

Subscribe to this mod's changes

hipaa-audit is a skill published in the GitHub repository briiirussell/cybersecurity-skills (391 stars, last pushed 3mo ago), licensed MIT. It adds 172 tokens to every session and 3,920 once invoked, about $0.0009 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.

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